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General NPI Number Information
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NPI Number | 1831884402
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Entity Type | Organization
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Legal Business Name | MICHAEL JONES DPT ATC CSCS LLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8210 CYPRESS PLAZA DR STE 101
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4475
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Country | US
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Telephone | 904-516-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 4914 BALLASTONE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32257-3000
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Country | US
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Telephone | 954-240-8632
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | MICHAEL RYAN JONES
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Credential | PT, DPT, OCS, CSCS
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Telephone | 954-240-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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